Bill To:

Farmer's Insurance
PO Box 0991
Carol Stream, IL 60132-0991

Services Rendered To:

Owner: Tyson Wayne
1097 Mercury
Lavon, TX 75166
Phone: (972) 835-0315


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00

  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00

  4. 319 Generator (Per Generator/Per Hour)

    $50.00
    1
    $50.00

  5. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    2
    $200.00

  6. 216 Oxygen (# Used)

    $25.00
    1
    $25.00

  7. 311 PPV / Ventilation Fan (# Used)

    $50.00
    2
    $100.00

  8. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    4
    $200.00

  9. 304 SCBA Cylinder (# Used)

    $25.00
    4
    $100.00

  10. 306 Hose Per 50′ (Amt Used)

    $25.00
    5
    $125.00

    11. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 1097 Mercury Lavon, TX 75166

    Ordinance Info: Resolution No. 2020-03-01

Subtotal $1,450.00
Total Due $1,450.00


Checks Payable To:

Sure Fire Recovery Service, LLC
9711 S Mason Road 125-120
Richmond, TX 77407
Federal Tax ID – 83-4417185


  Please Include Incident Number On All Correspondence.
Updated
November 9, 2020 @ 7:06 pm

Invoice updated by Karen Smith.

Status Update
November 9, 2020 @ 7:06 pm

Status changed: Draft to Pending.

Updated
January 19, 2021 @ 5:59 pm

Invoice updated by Geoffrey.

Updated
October 14, 2021 @ 7:08 pm

Invoice updated by Geoffrey.

Updated
October 14, 2021 @ 7:10 pm

Invoice updated by Geoffrey.